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DR. TY DOUGLAS SHAFER D.D.S.
NPI 1346269107
Dentist in Southlake, TX

Active since July 19, 2006PECOS Enrolled
2000 E NORTHWEST PKWY, SOUTHLAKE, TX 76092(817) 416-2228(817) 421-0408 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ty Douglas Shafer D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TY DOUGLAS SHAFER D.D.S. (NPI 1346269107) is an individual dentist in Southlake, Texas, licensed in Texas (21301) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346269107
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. TY DOUGLAS SHAFERCredential: D.D.S.
Location Address2000 E NORTHWEST PKWYSouthlake, TX 76092-6514
Mailing Address2000 E Northwest PkwySouthlake, TX 76092-6514 · (817) 416-2228 · Fax (817) 421-0408
Phone(817) 416-2228
Fax(817) 421-0408
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1346269107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 21301
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2000 E NORTHWEST PKWY, Southlake, TX 76092
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ty Douglas Shafer D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ty Shafer's NPI number?

The NPI number for Ty Shafer is 1346269107. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Ty Shafer located?

Ty Shafer practices at 2000 E Northwest Pkwy, Southlake, TX 76092. The listed phone number is (817) 416-2228.

What is Ty Shafer's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Ty Shafer enrolled in Medicare?

Yes. Ty Shafer is registered in the Medicare PECOS enrollment system.

What insurance does Ty Shafer accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Ty Shafer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ty Shafer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.